VBAC - Vaginal Birth After Cesarean

The basics and benefits 

A vaginal birth after cesarean (VBAC)— pronounced “vee-back,” for short—refers to giving birth vaginally after already having had a cesarean section (C-section). Historically, medical opinions about whether or not a woman should attempt a VBAC have been mixed. But “once a cesarean, always a cesarean” no longer holds true. Some women are better candidates than others, but there is strong evidence that shows VBACs are a safe option for many.
  • Benefits of vaginal births, including VBACs, include:
  • Shorter recovery time and hospital stay
  • Fewer postpartum complications such as infections 
  • More immediate bonding and the ability to breastfeed
  • Fewer risks for subsequent pregnancies

Risks of VBAC

There is a small, but real, risk of uterine rupture for women choosing a VBAC. This is when the scar on your uterus opens while the baby is still inside during a vaginal delivery. For this reason, women choosing a VBAC are monitored closely while in labor and must have their delivery in a hospital where a full clinical staff is present at all times in case a C-section is needed. 

To ensure the safety of mom and baby, Inspira patients delivering VBAC do so in a medical center with a full clinical team of OB/GYN physicians, anesthesiologists and in-house pediatricians. It allows us to also offer advanced neonatal intensive care, if needed.

How we see it

We believe every woman should have the resources and autonomy to make an informed choice about what birth plan makes the most sense for her and her baby. Our certified nurse midwives believe in a woman’s ability to have a baby without medication. That includes offering a VBAC to those women who are appropriate candidates and who also desire a natural birth. 

An Inspira obstetrician or certified nurse midwife can answer any questions or concerns you may have when deciding if a VBAC makes sense for you. Call 1-800-INSPIRA to schedule an appointment.

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